The first clinical case of coronavirus disease 2019 was reported in Wuhan in China in December 2019 [1]. Since then, there have been more than 1,171,000 confirmed cases and 68,000 deaths in the United States as of May 5, 2020 [2]. To mitigate the spread of the disease, the Governor of the Commonwealth of Massachusetts issued a "social distancing" order on March 23, 2020 [3], and the Massachusetts Department of Public Health issued a "stay-at-home" advisory on March 24, 2020 [4]. In this context, hospital networks implemented significant changes in practice and workflow, particularly among procedure-based specialties, to facilitate the anticipated surge in COVID-19related hospital admissions. This report describes the changes in workflow, caseload, procedure prioritization, and staff deployment in a tertiary medical center during the COVID-19 pandemic.
Contrast-enhanced CT of the neck is accurate in the detection of sialolithiasis, with no difference in diagnostic accuracy compared with noncontrast CT of the neck.
The overall risk of stochastic and deterministic effects from radiation associated with CT-guided ablations is low compared with other inherent procedural complications. This study identifies several factors that are associated with higher radiation dose in percutaneous liver ablation procedures.
Gestational hypertriglyceridaemia is a rare cause of acute pancreatitis. Its pathophysiology is incompletely understood. Severity scoring and effective management remain challenging. We report a case of acute pancreatitis secondary to gestational hypertriglyceridaemia. We describe the use of computed tomography to provide an alternative determination of severity, as well as plasmapheresis as a means of treating the condition.
Innovations in surgical techniques coupled with advances in medical and pharmacological management in the past few decades have enabled organ transplantation to become integral to the management of end stage organ failure. In this review article, we will review the role of the radiologist in the work up of liver and pancreas donors during evaluation of their donor candidacy. The critical role of imaging in assessing the parenchymal, biliary and vascular anatomy in liver donor candidates will be reviewed, as well as highlighting the anatomical findings that may pose a contraindication to transplantation. The limited role of imaging in pancreas donor evaluation is also covered, as well as a brief overview of the surgical techniques available and how the radiologist's findings influence operative technique selection.
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